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COMMUNITY DEVELOPMENT DEPARTMENT SITE APPROVAL/USE PERMIT G1c<1tne~s qruw:i here. FILE NUMBER: -------SERVICES Water Service Provider: Will Serve Letter Provided Distance to Public □ □ Public Water: Existing Well New Well Well Replacement Private ~ ~ □ □ Wastewater Disposal Service Provider: Will Serve Letter Provided Distance to Public □ □ Public Sewer: ~ Existing Septic System New Septic System Septic System Replacement Private □ □ ~ Description of process wastewater: Volume of process Method of disposal: If the project will result in Public Treatment Planned Recycling wastewater: Public Treatment process wastewater provide Center via an on-site concrete >160 cubic feet Planned Recycling the following information: washout container. center Storm Drainage Service Provider: Will Serve Letter Provided Distance to Public □ □ Public Storm Drain: Existing On-site Retention Pond New On-site Retention Pond Natural Drainage Private ~ □ □ ~ Other Public Services School Service Fire Protection Service Service Provider I Distance to IN/A Service Provider I Distance to IN/A N/A School: N/A Fire Station: Page 3 of 6 08/13/2021